Cardiac Electrophysiology Section, Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA.
Montreal Heart Institute, Department of Medicine, Université de Montréal, Montréal, Québec, Canada.
J Am Coll Cardiol. 2023 Sep 5;82(10):1039-1050. doi: 10.1016/j.jacc.2023.06.029.
Atrial fibrillation is the most common atrial arrhythmia and accounts for a significant burden of cardiovascular disease globally. With advances in implanted and wearable cardiac monitoring technology, it is now possible to readily and accurately quantify an individual's time spent in atrial fibrillation. This review summarizes the relationship between atrial fibrillation burden and adverse cardiovascular and cerebrovascular outcomes and discusses the role of catheter ablation to mitigate the morbidity and mortality associated with greater burden of atrial fibrillation.
心房颤动是最常见的房性心律失常，在全球范围内给心血管疾病带来了巨大负担。随着植入式和可穿戴式心脏监测技术的进步，现在可以方便、准确地量化个体心房颤动的时间。本文综述了心房颤动负荷与不良心血管和脑血管结局之间的关系，并讨论了导管消融在减轻与心房颤动负荷增加相关的发病率和死亡率方面的作用。
